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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY WILLIAM INGRAHAM CLARK, MD

Active

TIMOTHY WILLIAM INGRAHAM CLARK, MD is a Therapeutic Radiology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1588629885 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · PHILADELPHIA, PA

Registration Details

NPI Number
1588629885
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.34809872911 yrs)
Last Updated
Apr 18, 2018
Licenses
MD065636L (PA)
MD065636L (PA)

Practice Information

Address
51 N. 39TH STREET
PHILADELPHIA, PA, 19104
Browse PA providers · Browse ZIP 19104
Phone
2156623005
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Diagnostic Radiology

Other Therapeutic Radiology Providers in PHILADELPHIA, PA

Name Credential NPI
GARY S COHEN MD 1891784559
MARK HYSELL DO 1174513105
TODD MAKLER MD 1205826898
RICHARD J GRAY MD 1407846090
PAUL CHASE 1275517427
AARON OPHER SHILOH M.D. 1003886896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.